Patricia Louise Testamark, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000693 Issued in VA

Practice address

44 Medical Park Blvd
Ste H
Petersburg, VA 23805-9349

Phone

(804) 898-3373

Fax

(804) 479-3775

NPI assigned

Aug 11, 2005

Last updated

Dec 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Patricia Louise Testamark Professional name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petersburg Family Eye Care

  • Optometrist
  • Petersburg, VA
  • NPI 1396949046
  Medicare reassignment NPD Authorized official
• Adam Neal, OD, PLLC

  • Optometrist
  • Petersburg, VA
  • NPI 1700719804
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1902808710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MEDICAL PARK BLVD",
            "address_2": "STE H",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059349",
            "telephone_number": "804-898-3373",
            "fax_number": "804-479-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MEDICAL PARK BLVD",
            "address_2": "STE H",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059349",
            "telephone_number": "804-898-3373",
            "fax_number": "804-479-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTAMARK",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010315891",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "TESTAMARK",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Terri Brown Sa-C
• Abiona Terry
• Cinnamon Terry
• Goran Tesic, M.D.
• Test Xpress Screening & Labs
• The Empowerment Lab LLC
• The Learning and Integrating New Knowledge and Skills Center, Inc. (T (The LINKS Center, Inc.)
• The Olivia Taylor House, LLC
• The Outreach Foundation, LLC
• The Petersburg Smile Center, P.C.

• Optometrist in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.